Operations Reporting & Process Improvement Analyst Details

Operations Reporting & Process Improvement Analyst

MultiPlan Inc. - Bedford, MA

Employment Type : Full-Time

Imagine a workplace that encourages you to interpret, innovate and inspire. Our employees do just that by helping healthcare payers manage the cost of care, improve competitiveness and inspire positive change. You can be part of an established company with a 40-year legacy that helps our customers thrive by interpreting our client's needs and tailoring innovative healthcare cost management solutions.

Our commitment to diversity, inclusion and belonging are part of the fabric of our company. We strive to create a workplace that fosters mutual respect and collaboration, where every talented individual can participate and perform their best work. We are MultiPlan and we are where bright people come to shine!

This position can be a work from home position. The incumbent will support the development, maintenance, and management of the reporting and process improvement initiatives within the department to ensure both efficiency, and compliance with corporate and regulatory requirements. The incumbent will work with cross-functional teams areas to define, develop, and test business application functionality and reporting capabilities to include developing areas for automation, efficiency and cost savings.

JOB ROLES AND RESPONSIBILITIES:
1. Analyze data from all operational processes to:

• use data to assist with the creation of reports, identify trends and to launchadditional research projects to include non compliant monitoring, contract compliance and opportunities for automation;
• research, and test data on applicable systems and environments; including at times sign off and approval of specifications or application readiness.

2. Act as subject matter expert of department utilized and owned systems and environments. Solicit, analyze, research, lead and negotiate department requirements, technical initiatives and systematic enhancements in order to ensure development of solutions that meet the department's real needs; minimize requirement defects up front, establish and maintain agreement between department, analyst and external customers (when applicable).
3. Create, analyze and interpret management reports and department data that accurately reflect department performance and trends. Monitor department performance while identifying potential for process improvements.
4. Manage reporting for all lines of business to include government products while developing plans to address non-compliance or operational improvement opportunities.
o Develop process to address compliance deficiencies to include submitting automated requests to external vendors e.g. (CAQH) or internal IT teams .
5. Support the implementation of reporting metrics for production, quality compliance, system effectiveness, cycle time and staff productivity; and coordinate results with department management for reporting
6. Manage multiple priorities, customer expectations (internal and external) and relationships with stakeholders within assigned department and other internal departments. Consult with customers on project status and technical issues. Manage relationships with customers, project managers, and all levels of management.
7. Participate in/Lead cross-functional projects and interact with all areas of organization to achieve desired results. Work with assigned departments and Operations management to develop cost effective, business-focused solutions. Conduct meetings with various departments, vendors and Operations management as needed to include monitoring vendor activities and addressing deficiencies.
8. Act as department representative on projects and collaborations of various company systems.
9. May coordinate User Acceptance Testing, develop test plans while utilizing all systems necessary and performing all User Acceptance Testings (UAT) based activities on behalf of department.
10. Collaborate, coordinate, and communicate across disciplines and departments.
11. Ensure compliance with National Health Care Acredition (NCQA), State Regulatory, HIPAA regulations and requirements.
12. Demonstrate Company's Core Competencies and values held within
13. Please note due to the exposure of PHI sensitive data - this role is considered to be a High Risk Role.
14. Responsible for routine internal monitoring and auditing of compliance risks, prompt response to compliance issues as they are raised, investigation of potential compliance problems as identified in the course of self-evaluation and audits, correction of such problems promptly and thoroughly to reduce the potential for recurrence as required by applicable state and federal laws, regulations and MPI's Compliance Programs
15. The position responsibilities outlined above are in no way to be construed as all encompassing. Other duties, responsibilities, and qualifications may be required and/or assigned as necessary.

JOB SCOPE:
This incumbent works independently with minimal supervision to complete the job responsibilities. Work is often varied. More complex issues are referred to higher levels. The incumbent follows established procedures and uses knowledge of the Company's general business principles, industry dynamics, market trends, and specific operational details when performing all aspects of the job.

Note: This job cannot be performed in Colorado.

JOB REQUIREMENTS (Education, Experience, and Training):

• Minimum Bachelor's Degree or HS Diploma and 4 years of related experience.
• Minimum 2 years' experience working with large data sets.

• Knowledge of the Company's general business principles, industry dynamics, market trends, and specific operational details.
• Knowledge of the Company's data systems and a familiarity with Imaging/Workflow Environment; ECHO database systems; Provider Data Management processes (Registrar, Cred/ReCred, Demographics, rates) and Service Operations desirable
• Knowledge of Healthcare and Managed Care industry preferred.
• Communication (written, verbal and listening), planning, reporting, technical, coordination, organization, collaboration, project management and interpersonal skills.
• Ability to perform User Acceptance Testing within departmental systems and environments. Review and understand defects reported and translate those into actionable items.
• Ability to maintain complex reporting applications (i.e., Qlikview, Apttus and Service Tracking)
• Ability to work independently to drive small, medium and large-sized projects of varying complexity to desired outcome.
• Ability to utilize the Company's applications and corresponding business workflows as needed.
• Ability to communicate effectively with both business and technical staff and convey complex ideas both verbally and in written form
• Ability to work autonomously and as part of a team - work well with team members and outside departments.
• Ability to embrace and drive change.
• Ability to utilize independent judgment to identify problem issues and determine the appropriate course of action/redirection required to resolve issue.
• Ability to respond in a timely manner to requests from department Management and internal/external clients
• Ability to keep the needs of external and internal customers as a priority when making decision and taking action
• Ability to identify or implement new or modified processes to accomplish the best results with the least time and resources.
• Ability to become proficient with the Company's applications and corresponding business workflows as needed.
• Ability to use software, hardware and peripherals related to job responsibilities, including MS Office, especially Excel and Access.
• Ability to travel as needed
• Individual in this position must be able to work in a standard office environment which requires sitting and viewing monitor(s) for extended periods of time, operating standard office equipment such as, but not limited to, a keyboard, copier and telephone

BENEFITS
We realize that our employees are instrumental to our success, and we reward them accordingly with very competitive compensation and benefits packages, an incentive bonus program, as well as recognition and awards programs. Our work environment is friendly and supportive, and we offer flexible schedules whenever possible, as well as a wide range of live and web-based professional development and educational programs to prepare you for advancement opportunities.
Your benefits will include:

• Medical, dental, and vision coverage (low copay & deductible)
• Life insurance
• Short- and long-term disability
• 401(k) + match
• Generous Paid Time Off
• Paid company holidays
• Tuition reimbursement
• Flexible Spending Account
• Employee Assistance Program
• Summer Hours

EEO STATEMENT

MultiPlan is an Equal Opportunity Employer and complies with all applicable laws and regulations. Qualified applicants will receive consideration for employment without regard to age, race, color, religion, gender, sexual orientation, gender identity, national origin, disability or protected veteran status. If you'd like more information on your EEO rights under the law, please click hereopens a pdf file.